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Glenda Moe
NPI 1154402220 · on the registry since 2006
Practice
- Address
- 510 E 17th S. 400
Idaho Falls, ID 83404 - Phone
- (208) 589-0807
- Fax
- (208) 542-9577
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho